Teaching neuroimages: neuromyelitis optica misdiagnosed as spinal cord tumor.
case_report · Level V
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- Record sourced from PubMed, PMID 24470607.
- Also identified by DOI 10.1212/WNL.0000000000000064.
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Abstract
A 17-year-old girl presented with acute-onset cervical pain, followed by left arm weakness and gait disturbances. Spinal cord astrocytoma was diagnosed by MRI performed at an outpatient facility (figure, A and B). The patient was admitted to the neurosurgery department to undergo spinal cord biopsy. A second neurologic evaluation indicated neuromyelitis optica (NMO) as the most likely diagnosis, which was confirmed by NMO-immunoglobulin G seropositivity. The patient was treated with rescue plasmapheresis with substantial clinical and radiologic (figure, C) improvement.
Medical subject headings
- Neuromyelitis Optica
- Spinal Cord
- Spinal Cord Neoplasms